| NPI | 1457217929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1192279) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1192279) |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2026-02-05 |